Individual
CHARLES EDWARD HOLTZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
1599 J ST, GRAND FORKS AFB, ND 58205-6306
(701) 747-5504
(701) 747-5923
Mailing address
2026 SPRUCE DR, UNIT A, GRAND FORKS, ND 58204-1864
(701) 747-5504
(701) 747-5923
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
05/13/2009
Last updated
05/13/2009
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